Hysteroscopy with Implantation Cuts - Dr Ioannis Douliotis MD MRCOG

IVF

In a nutshell, in vitro fertilisation (IVF) is a process of fertilisation where an egg is combined with sperm outside the body, in vitro. The process involves monitoring and stimulating a woman’s ovulatory process, removing an ovum or ova from the woman’s ovaries and letting sperm fertilise them in a liquid in a laboratory. The fertilised egg (zygote) undergoes embryo culture for 2–6 days, and is then transferred to the same or another woman’s uterus, with the intention of establishing a successful pregnancy.
IVF is a type of assisted reproductive technology used for infertility treatment and gestational surrogacy.

Hysteroscopy with Implantation Cuts

It is well documented in the literature that controlled ‘injury’ to the endometrium is beneficial in terms of improving implantation rates. During the hysteroscopy, an overall assessment of the uterine cavity is performed and at the same time small incisions are made at the fundus of the uterus (where implantation normally occurs). The overall effect of this “endometrial trauma” is a significant improvement in implantation rates while spontaneous pregnancies are often observed immediately after such a hysteroscopy.